Individual
JAEDA LINDA HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
17 SYLVAN ST STE 207, RUTHERFORD, NJ 07070-2037
(973) 446-5591
Mailing address
17 SYLVAN ST STE 207, RUTHERFORD, NJ 07070-2037
(973) 446-5591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00867600
NJ
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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